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Posts for category: Pediatric Care

By John Cabana, MD
May 31, 2019
Category: Pediatric Care
Tags: Sports Injuries  

Your child's sports injury can be treated just as your injury was. Or, can it? Your pediatrician knows that a child's body is still developing, responding differently to acute and overuse injuries from organized sports, gym class, and more. As such, he or she can help your child avoid injury and in the event of sprain, strain, laceration, dislocation, or head injury, will help your youngster recover and stay healthy.

Kids sports injuries

They're very common, says the American Orthopaedic Society for Sports Medicine. Annually, 3.5 million American children under the age of 14 suffer significant sports injuries. Some injuries are related to poor conditioning. Others occur because of inadequate instruction or proper protective gear such as padding, eye wear, sneakers, dance shoes, skates, and cleats.

In addition, diligent supervision on the part of parents, coaches, teachers, and other well-informed adults is critical to safe play. Well-maintained game fields and indoor surfaces avoid foot, ankle, and knee injuries.

Finally, KidsHealth reports that Pre-participation Physicals review medical histories and spot possible weaknesses in children's physiology and anatomy. Most school and organized sports teams require these check-ups either with the school physician or the family pediatrician before the sports season commences.

Treating sports injuries

The Centers for Disease Control (CDC) states that proper assessment and prompt treatment of kids' sports injuries prevent long-term problems, including pain and proper growth of areas of the body such as the long bones. Traditionally, coaches and parents have used the RICE protocol to stabilize and injury, relieve pain, and begin the healing process. It still works exceptionally well. RICE stands for:

  • Rest
  • Ice to the affected area
  • Compression with an elastic bandage
  • Elevation of the affected limb/injured area above heart level

Then, your pediatrician and other health care providers can devise a specific treatment plan to include physical therapy, strengthening exercises, over the counter analgesics, braces, and casts as needed. As a parent, you know your child well. So be sure to fully participate in your youngster's care plan.

Be safe, be well

Each child responds differently to athletic training depending on his or her gender, size, age, physical conditioning, underlying health issue,s and natural ability. You and your pediatrician can partner together in encouraging a safe sports season for your child. That's a win-win situation.

By Downers Grove Pediatrics
March 19, 2019
Category: Pediatric Care
The harder your children play, the harder they might fall. During childhood, fractures and broken bones are common for children playing or participating in sports. While falls are a common part of childhood,
Detecting a Broken Bone your pediatrician in shares important information to help you understand if your child has a broken bone. 
 
If your child breaks a bone, the classic signs might include swelling and deformity. However, if a break isn’t displaced, it may be harder to tell if the bone is broken or fractured. Some telltale signs that a bone is broken are:
  • You or your child hears a snap or grinding noise as the injury occurs
  • Your child experiences swelling, bruising or tenderness to the injured area
  • It is painful for your child to move it, touch it or press on it
  • The injured part looks deformed

What Happens Next?

If you suspect that your child has a broken bone, it is important that you seek medical care immediately. All breaks, whether mild or severe, require medical assistance. Keep in mind these quick first aid tips:
  • Call 911 - If your child has an 'open break' where the bone has punctured the skin, if they are unresponsive, if there is bleeding or if there have been any injuries to the spine, neck or head, call 911. Remember, better safe than sorry! If you do call 911, do not let the child eat or drink anything, as surgery may be required.
  • Stop the Bleeding - Use a sterile bandage or cloth and compression to stop or slow any bleeding.
  • Apply Ice - Particularly if the broken bone has remained under the skin, treat the swelling and pain with ice wrapped in a towel. As usual, remember to never place ice directly on the skin.
  • Don't Move the Bone - It may be tempting to try to set the bone yourself to put your child out of pain, particularly if the bone has broken through the skin, do not do this! You risk injuring your child further. Leave the bone in the position it is in.
Contact your pediatrician to learn more about broken bones, and how you can better understand the signs and symptoms so your child can receive the care they need right away. 
By Downers Grove Pediatrics
January 16, 2019
Category: Pediatric Care
Tags: Newborn   Newborn Care  

There is a lot of care and work that goes into raising a newborn, and your pediatrician is here to help right from the beginning. Your pediatrician typically sees your newborn for their very first appointment within a few days of being discharged from the hospital. Your pediatrician is here for you to ask any questions or address any concerns you may have about your newborn and caring for your newborn. Some of the topics that your pediatrician may discuss in that first visit are:

Feeding- Your pediatrician will watch your baby’s feeding habits during this period and make sure that their growth is right on schedule. During the first six months of your newborn’s life, you’ll feed them formula or breastmilk. Breastfed babies tend to eat more frequently than babies who are fed formula.

Sleep- Every baby has different sleep schedules and needs. Most newborns tend to sleep sixteen to seventeen hours a day, but only sleep a few hours at a time. Sleep cycles don’t tend to normalize until your baby is about six months old. The American Academy of Pediatrics recommends that healthy infants should sleep on their backs until they are able to roll over on their own.

Bathing- Infants do not usually require daily bathing, as long as the diaper area is thoroughly cleaned during changes, because daily bathing dry out their skin. Instead, it’s recommended to sponge bathe areas as needed.

Umbilical Cord Care- An infant’s umbilical cord should eventually dry up and fall off on its own by the time your baby is two weeks old. Until then, make sure to keep the area clean and dry by using sponge baths instead of submerging your baby in the tub. Small drops of blood are normal around the time that the umbilical cord is supposed to fall off. If you notice any active bleeding, foul-smelling yellowish discharge, or red skin around the stump, contact your pediatrician.

Your newborn should see their pediatrician at 2 weeks, 2 months, 4 months, 6 months, 9 months, 12 months, and regularly throughout their life. Call your pediatrician for any questions on newborn care today!

By Downers Grove Pediatrics
October 16, 2018
Category: Pediatric Care
Tags: Sports Injuries  

Even though you try as hard as possible to keep your child safe while they are playing sports, accidents still happen. At these moments, it’s important that you know whether these are injuries that can easily be treated from the comfort of your own home or whether you need to turn to a pediatrician for proper medical attention.

Pediatricians have seen a lot of sports-related injuries over the years and while we also focus as much of our attention on prevention, we know the importance of being able to get immediate and comprehensive care when your child does sustain an injury.

Common sports-related injuries include:

  • Dislocations (particularly in the shoulder)
  • Traumatic injuries (this includes cuts, sprains and strains, and broken bones)
  • Stress fractures
  • Tendinitis (often in the hand or wrist)
  • Concussion

When a dislocation happens many times it is accompanied by an audible popping sound at the moment that the injury occurred. This unnerving sound is often followed by sudden and intense pain. It’s important that you turn to a pediatrician who can put the shoulder or any other area of the body back in place. The joints of a child’s body are looser than adults, so it makes shoulders and other areas more prone to dislocations.

Minor cuts, sprains, and strains can often be handled with at-home care. In most cases, the RICE method is a great way to ensure that your child gets the rest they need to heal properly and to stay off of the injury until it fully heals. Icing and elevating the injured area can also reduce pain and swelling. Of course, if you suspect that your child has a broken bone, this will need to be evaluated by a medical professional right away.

Children who are serious or long-term athletes are more likely to experience overuse injuries. These injuries occur over time rather than suddenly and they are often the result of performing repetitive movements. Overuse injuries include stress fractures and tendinitis. If your child feels pain whenever they move a certain area of the body or if they notice pain or swelling in a certain area it’s important that they get checked out.

Wearing a helmet is crucial for protecting your child’s head while playing sports. Of course, if your child has received a blow to the head and is experiencing dizziness, fatigue, frequent or severe headaches or just seems out of sorts it’s crucial that you bring them in right away to see if they’ve incurred a concussion.

When in doubt, pick up the phone and talk to a pediatrician about your child’s injuries and symptoms. They will be able to determine whether or not they should come in for proper care.

By Downers Grove Pediatrics
October 01, 2018
Category: Pediatric Care
Tags: Child Care   Sports Physical   Sports  

Your child is eager to start the school year so they can participate in sports. That’s great news! Keeping your child active is an important part of a healthy lifestyle and sports can be a great experience for many children; however, it’s also important that your child’s pediatrician performs a yearly sports physical to make sure that they are ready for physical activity.

A sports physical is necessary for every child regardless of their current health. In fact, some schools make it mandatory for children to get an annual sports physical before they participate in any school sports. Regardless of whether this physical is mandatory or not, it’s highly advised that all children get a sports physical once a year.

Your child’s sports physical will involve going through their medical history and conducting a physical examination. The physical examination is pretty self-explanatory. We will check their vitals, as well as their height and weight. We will perform a vision test and evaluate everything from their heart and respiratory system to their musculoskeletal system. The goal of a physical exam is to make sure that your child hasn’t incurred any past injuries or developed any health problems that could be exacerbated by physical activity.

A pediatrician can also answer questions and provide counseling on nutrition, healthy weight loss or gain, and habits that could help your child’s physical health. Remember to bring any questions along with you.

Besides the physical examination, we will also sit down with you and your child and ask questions about their medical history. It’s important to be as detailed as possible. If it’s the first time they are having a sports physical it’s important to bring in a list of any supplements or medications (both over-the-counter or prescription) that they are currently taking.

We will ask a series of questions to find out if there are any serious or chronic health problems that run in the family, if your child has experienced any past injuries, if they’ve ever undergone surgery or been hospitalized, if they have any allergies or if they have any current disorders or illnesses. It’s important to provide as much detailed history as possible so that our pediatric team can perform a thorough and comprehensive physical.

Don’t wait until the last minute to schedule your child’s sports physical. It’s important to get your child on the books before the summer is gone and the doctor’s schedule fills up. You don’t want your child being benched during the season because they didn’t get a sports physical. Call your pediatrician today.